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Peer-reviewedCC BY-NCJournal of pediatric rehabilitation medicine

Screening colonoscopy utilization among adults living with spina bifida.

  • Hiren V Patel1
  • Debbie Goldberg2
  • Isabel Elaine Allen2
  • Hillary L Copp3
  • Lindsay A Hampson2,3
  1. 1Department of Urology, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
  2. 2Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA.
  3. 3Department of Urology, University of California San Francisco, San Francisco, CA, USA.
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Abstract

PurposeSpina bifida (SB) is the most common neural tube defect, often accompanied by neurogenic bladder and bowel dysfunction, hydrocephalus, and orthopedic sequelae. As life expectancy increases for individuals with SB, understanding disparities in healthcare utilization becomes crucial. This study examined colorectal cancer (CRC) screening colonoscopy utilization rates among adults living with SB.MethodUsing the California Health Care Access and Information database (2005-2017), a matched control group was established to compare colonoscopy utilization. Multivariable logistic regression analysis was performed to identify predictors of screening colonoscopy utilization.ResultsAmong individuals aged ≥50 years, 9.5% of those living with SB underwent screening colonoscopy compared to 13.0% of matched controls. After adjustment, SB was independently associated with lower odds of screening colonoscopy (OR 0.84, 95% CI 0.76-0.93).ConclusionFindings underscore the need for targeted interventions to improve CRC screening accessibility for this vulnerable population. Addressing structural barriers and enhancing patient-centered approaches may improve preventative care delivery and long-term health outcomes in individuals with SB.

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Cite

BibTeXRIS
BibTeX
@article{patel2026screening,
  title = {{Screening colonoscopy utilization among adults living with spina bifida.}},
  author = {Hiren V Patel and Debbie Goldberg and Isabel Elaine Allen and Hillary L Copp and Lindsay A Hampson},
  journal = {Journal of pediatric rehabilitation medicine},
  year = {2026},
  month = oct,
  doi = {10.1177/18758894261501063},
  url = {https://europepmc.org/article/MED/42893452},
  note = {CC BY-NC},
}
RIS
TY  - JOUR
TI  - Screening colonoscopy utilization among adults living with spina bifida.
AU  - Hiren V Patel
AU  - Debbie Goldberg
AU  - Isabel Elaine Allen
AU  - Hillary L Copp
AU  - Lindsay A Hampson
PY  - 2026
DA  - 2026/10/18
JO  - Journal of pediatric rehabilitation medicine
DO  - 10.1177/18758894261501063
UR  - https://europepmc.org/article/MED/42893452
AB  - PurposeSpina bifida (SB) is the most common neural tube defect, often accompanied by neurogenic bladder and bowel dysfunction, hydrocephalus, and orthopedic sequelae. As life expectancy increases for individuals with SB, understanding disparities in healthcare utilization becomes crucial. This study examined colorectal cancer (CRC) screening colonoscopy utilization rates among adults living with SB.MethodUsing the California Health Care Access and Information database (2005-2017), a matched control group was established to compare colonoscopy utilization. Multivariable logistic regression analysis was performed to identify predictors of screening colonoscopy utilization.ResultsAmong individuals aged ≥50 years, 9.5% of those living with SB underwent screening colonoscopy compared to 13.0% of matched controls. After adjustment, SB was independently associated with lower odds of screening colonoscopy (OR 0.84, 95% CI 0.76-0.93).ConclusionFindings underscore the need for targeted interventions to improve CRC screening accessibility for this vulnerable population. Addressing structural barriers and enhancing patient-centered approaches may improve preventative care delivery and long-term health outcomes in individuals with SB.
SN  - 1874-5393
SN  - 1875-8894
ER  -